9 results
Acute Esophageal Necrosis (Black Esophagus) on Endoscopy

Dr. Joaquín Berrueta Mezzera @DrJBerrueta

#Acute #Esophageal #Necrosis #Black #Esophagus #Endoscopy
Acute Esophageal ... Necrosis (Black ... Esophagus) on Endoscopy ... #Necrosis #Black ... #EGD #gastroenterology
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Acute Esophageal ... Sepsis Diagnosis EGD ... #Necrosis #black ... #esophagus #diagnosis ... #management #gastroenterology
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
acidosis, and Aortic dissection ... Diagnosis: - EGD ... circumferential black ... Necrosis #diagnosis #management ... #gastroenterology
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
GERD: Testing EGD ... symptom recurrence → EGD ... failure + negative EGD ... Refractory GERD when EGD ... #Gastroenterology
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
lesion prior to EMR/ESD ... Polypectomy, EMR, ESD ... hot resection • ESD ... prior to EMR/ESD ... #accessories #EGD
Endoscopic Submucosal Dissection (ESD) - Polyp Resection Techniques

Technique:
 • The polyp is then lifted by submucosal
Endoscopic Submucosal Dissection ... (ESD) - Polyp Resection ... incision around a lateral ... #ESD #Polyp #Resection ... #Management #gastroenterology
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
web or a distal esophageal ... Extrinsic to esophagus ... structural disorder → EGD ... Differential #Diagnosis #Management ... #gastroenterology
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Endoscopy - Management ... of Bleeding Esophageal ... EGD and the Banding ... #gastroenterology ... fellows #endoscopy #egd
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
sphincter to relax EGD ... sudden weight loss later ... Achalasia #diagnosis #management ... #treatment #gastroenterology ... #esophageal #esophagus